The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2005-7-27 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00982 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6280 Forest Ridge Dr ASSESSOR'S PARCEL NO.: MOUNTAINGATE PH 3 ~ Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Storm & Sanitary extension lines located in phase 3 for individual lots. Plan on file. Will need as builts. Owner: ALBERTS DEVELOPMENT Address: 875 FAIRWAY DR. EUGENE OR 97401 Phone Number: 541-954-1978 I CONTRACTOR INFORMATION. Contractor Type Sewer Contractor EGGE SAND & GRAVEL LLC I BUILDING INFORMATION I License Expiration Date Phone 541-485-1515 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbac~rTENTION: Oregon law requires you to TOIIOW rUles aaopleu uy lIl~ \ niM~l' J '''iil Notification Center. Those.rul~Id.C;1'r'I'r.RROVEMENTS. Street ImPtWJvE))igi)652-001-001 0 through OAR 952-001- - Storm SewePlA~i1);mMTlay obtain copies of the rules by Special Instru6iID~,?g the center. (Note: the telephone number for the Oregon Utility Notification Notes: Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: f\,f,''''ll~f,r\!r~o U'\.0'Liu0:":'::::'a THIS PERfvllT SHALL EXPIRE IF THE WORK I" ITUrlDI7Cn Ilf\W,CD TUI~ Di:D.\/lIT I~ i\lnT Description Type of Construction I Valuation Description (IDlVIIVIENCED OR IS ABANDONED FOR "NY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM200S-00982 ISSUED: 07/27/2005 APPLIED: 07/26/2005 EXPIRES: 01127/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Sanitary Sewer -1st 50 Feet Storm Sewer - 1st 50 Feet Amount Paid Date Paid $9.00 $6.30 $45.00 $45.00 7/27/05 7/27/05 7/27/05 7/27/05 Receipt Number 1200500000000001082 1200500000000001082 1200500000000001082 1200500000000001082 Total Amount Paid $105.30 I Plan Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L Reouired InsDections I Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. ~ !!.-tfl~ /~~jJ /Y~.LJ-NA~4-r A~ Owner or Contractors Sig~atur~ --. i 7/.zY~ / r Date Pae:e 2 of 2 225 Fifth Street Sprlngf1el!f, Oregon 97477 541-726-3759 Phone GP~:;O ,. WiL. City of Springfield Official Receipt relopment Services Department Public Works Department Job/Journal Number COM2005-00982 COM2005-00982 COM2005-00982 COM2005-00982 Payments: Type of Payment Check 'J 7/27/2005 RECEIPT #: 1200500000000001082 Date: 07/27/2005 Description Sanitary Sewer - 1st 50 Feet Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By Received By LB OLSON AND ASSOCIATES Ilh 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 9625 In Person Payment Total: 12:12:47PM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30